Cox, Bradley T

Cox, Bradley T is an sole proprietor health care provider with primary practice located at 3777 Highway 129 South , Cleveland GA 30564. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cox, Bradley T can be contacted via phone (706) 219-0033.

Contact Information

Primary practice address
3777 Highway 129 South Cleveland GA 30564
Fax: (706) 219-0048
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12934 Georgia

Profile Details

NPI number 1558429803
LBN Legal business name Cox, Bradley T
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jan 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558429803 NPPES
Georgia MEDICAID 962922049A

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